Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust
Background: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active group of patients with instability rather than osteoarthritis. Methods: The results of 17 opening wedge HTOs in 16 patients with a symptomatic hyperextension-var...
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| Veröffentlicht in: | The American journal of sports medicine 2004-01, Vol.32 (1), p.60-70 |
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| creator | Naudie, Douglas D.R. Amendola, Annunziato Fowler, Peter J. |
| description | Background: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active
group of patients with instability rather than osteoarthritis.
Methods: The results of 17 opening wedge HTOs in 16 patients with a symptomatic hyperextension-varus thrust were evaluated. Functional
results were evaluated according to the activity scoring system of Tegner and Lysholm and using a 5-point visual analogue
scale to assess change in knee stability and satisfaction. Radiographs were analyzed to determine changes in femorotibial
and mechanical axis alignment, tibial slope, and patellar height.
Results: Patients were followed for a mean of 56 months. All patients had an increase in their activity score postoperatively. Nine
patients rated their symptoms as significantly better and seven as somewhat better. All but one were satisfied with the surgery.
Femorotibial axis alignment was changed to a mean of 6° valgus, mechanical axis alignment was corrected to a mean of 46% toward
the lateral compartment, posterior tibial slope was increased a mean of 8°, and the ratio of patellar height was decreased
a mean of 0.17.
Conclusion: Opening wedge HTO can produce good functional and radiographic results in selected patients with a symptomatic thrust.
Keywords:
osteotomy
proximal tibia
knee
instability
thrust |
| doi_str_mv | 10.1177/0363546503258907 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_80133462</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A114126788</galeid><sage_id>10.1177_0363546503258907</sage_id><sourcerecordid>A114126788</sourcerecordid><originalsourceid>FETCH-LOGICAL-c554t-e8d58aec90f442e3bf17dfdaf71abdb8271e9df7b282b5ff52461f064b8904c23</originalsourceid><addsrcrecordid>eNqFks2P0zAQxS0EYsvCnROKEHAL-NvOcVUBRVopBwocLScZp66cpNiJoP89rlpRaQ9wsWXNb-z3_AahlwS_J0SpD5hJJrgUmFGhK6weoRURgpaMSfEYrU7l8lS_Qc9S2mOMiZL6KbohXAmuqFihuj7A6Me--AFdD8XG97ti6xtvQ1GnGaZ5Go6Fm2Lx9Tgc8sHOvi02xwNE-D3DmPw0lt9tXFKx3eV1fo6eOBsSvLjst-jbp4_b9aa8rz9_Wd_dl60QfC5Bd0JbaCvsOKfAGkdU5zrrFLFN12iqCFSdUw3VtBHOCcolcVjyJtvkLWW36N353kOcfi6QZjP41EIIdoRpSUZjwhiX_wdJRaXkCmfw9QNwPy1xzCYMJQrLSnOdofIM9TaA8WM7jXP-iHYKAXow2eK6NneEcEKl0icen_k2TilFcOYQ_WDj0RBsThGahxHmllcXHUszQHdtuGSWgbcXwKbWBhft2Pp05fIAsIqqq9Zks7S_Zv7x8Jszv8tD8MtHMGmwIWQZzNh9YtQQIzH7A0M9u2g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217069848</pqid></control><display><type>article</type><title>Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust</title><source>MEDLINE</source><source>SAGE Journals</source><source>Alma/SFX Local Collection</source><creator>Naudie, Douglas D.R. ; Amendola, Annunziato ; Fowler, Peter J.</creator><creatorcontrib>Naudie, Douglas D.R. ; Amendola, Annunziato ; Fowler, Peter J.</creatorcontrib><description>Background: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active
group of patients with instability rather than osteoarthritis.
Methods: The results of 17 opening wedge HTOs in 16 patients with a symptomatic hyperextension-varus thrust were evaluated. Functional
results were evaluated according to the activity scoring system of Tegner and Lysholm and using a 5-point visual analogue
scale to assess change in knee stability and satisfaction. Radiographs were analyzed to determine changes in femorotibial
and mechanical axis alignment, tibial slope, and patellar height.
Results: Patients were followed for a mean of 56 months. All patients had an increase in their activity score postoperatively. Nine
patients rated their symptoms as significantly better and seven as somewhat better. All but one were satisfied with the surgery.
Femorotibial axis alignment was changed to a mean of 6° valgus, mechanical axis alignment was corrected to a mean of 46% toward
the lateral compartment, posterior tibial slope was increased a mean of 8°, and the ratio of patellar height was decreased
a mean of 0.17.
Conclusion: Opening wedge HTO can produce good functional and radiographic results in selected patients with a symptomatic thrust.
Keywords:
osteotomy
proximal tibia
knee
instability
thrust</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546503258907</identifier><identifier>PMID: 14754725</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Care and treatment ; Diseases of the osteoarticular system ; Female ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Humans ; Injuries ; Joint Instability - diagnosis ; Joint Instability - surgery ; Knee ; Knee Joint - surgery ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Osteopathic medicine ; Osteotomy ; Osteotomy - methods ; Recovery of Function ; Reoperation ; Retrospective Studies ; Sports injuries ; Sports medicine ; Tibia ; Tibia - surgery ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>The American journal of sports medicine, 2004-01, Vol.32 (1), p.60-70</ispartof><rights>2004 American Orthopaedic Society for Sports Medicine</rights><rights>2004 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine Jan/Feb 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-e8d58aec90f442e3bf17dfdaf71abdb8271e9df7b282b5ff52461f064b8904c23</citedby><cites>FETCH-LOGICAL-c554t-e8d58aec90f442e3bf17dfdaf71abdb8271e9df7b282b5ff52461f064b8904c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546503258907$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546503258907$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15523927$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14754725$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naudie, Douglas D.R.</creatorcontrib><creatorcontrib>Amendola, Annunziato</creatorcontrib><creatorcontrib>Fowler, Peter J.</creatorcontrib><title>Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active
group of patients with instability rather than osteoarthritis.
Methods: The results of 17 opening wedge HTOs in 16 patients with a symptomatic hyperextension-varus thrust were evaluated. Functional
results were evaluated according to the activity scoring system of Tegner and Lysholm and using a 5-point visual analogue
scale to assess change in knee stability and satisfaction. Radiographs were analyzed to determine changes in femorotibial
and mechanical axis alignment, tibial slope, and patellar height.
Results: Patients were followed for a mean of 56 months. All patients had an increase in their activity score postoperatively. Nine
patients rated their symptoms as significantly better and seven as somewhat better. All but one were satisfied with the surgery.
Femorotibial axis alignment was changed to a mean of 6° valgus, mechanical axis alignment was corrected to a mean of 46% toward
the lateral compartment, posterior tibial slope was increased a mean of 8°, and the ratio of patellar height was decreased
a mean of 0.17.
Conclusion: Opening wedge HTO can produce good functional and radiographic results in selected patients with a symptomatic thrust.
Keywords:
osteotomy
proximal tibia
knee
instability
thrust</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Human physiology applied to population studies and life conditions. Human ecophysiology</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joint Instability - diagnosis</subject><subject>Joint Instability - surgery</subject><subject>Knee</subject><subject>Knee Joint - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Osteopathic medicine</subject><subject>Osteotomy</subject><subject>Osteotomy - methods</subject><subject>Recovery of Function</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Tibia</subject><subject>Tibia - surgery</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks2P0zAQxS0EYsvCnROKEHAL-NvOcVUBRVopBwocLScZp66cpNiJoP89rlpRaQ9wsWXNb-z3_AahlwS_J0SpD5hJJrgUmFGhK6weoRURgpaMSfEYrU7l8lS_Qc9S2mOMiZL6KbohXAmuqFihuj7A6Me--AFdD8XG97ti6xtvQ1GnGaZ5Go6Fm2Lx9Tgc8sHOvi02xwNE-D3DmPw0lt9tXFKx3eV1fo6eOBsSvLjst-jbp4_b9aa8rz9_Wd_dl60QfC5Bd0JbaCvsOKfAGkdU5zrrFLFN12iqCFSdUw3VtBHOCcolcVjyJtvkLWW36N353kOcfi6QZjP41EIIdoRpSUZjwhiX_wdJRaXkCmfw9QNwPy1xzCYMJQrLSnOdofIM9TaA8WM7jXP-iHYKAXow2eK6NneEcEKl0icen_k2TilFcOYQ_WDj0RBsThGahxHmllcXHUszQHdtuGSWgbcXwKbWBhft2Pp05fIAsIqqq9Zks7S_Zv7x8Jszv8tD8MtHMGmwIWQZzNh9YtQQIzH7A0M9u2g</recordid><startdate>20040101</startdate><enddate>20040101</enddate><creator>Naudie, Douglas D.R.</creator><creator>Amendola, Annunziato</creator><creator>Fowler, Peter J.</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20040101</creationdate><title>Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust</title><author>Naudie, Douglas D.R. ; Amendola, Annunziato ; Fowler, Peter J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-e8d58aec90f442e3bf17dfdaf71abdb8271e9df7b282b5ff52461f064b8904c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Human physiology applied to population studies and life conditions. Human ecophysiology</topic><topic>Humans</topic><topic>Injuries</topic><topic>Joint Instability - diagnosis</topic><topic>Joint Instability - surgery</topic><topic>Knee</topic><topic>Knee Joint - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Osteopathic medicine</topic><topic>Osteotomy</topic><topic>Osteotomy - methods</topic><topic>Recovery of Function</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Tibia</topic><topic>Tibia - surgery</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naudie, Douglas D.R.</creatorcontrib><creatorcontrib>Amendola, Annunziato</creatorcontrib><creatorcontrib>Fowler, Peter J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naudie, Douglas D.R.</au><au>Amendola, Annunziato</au><au>Fowler, Peter J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2004-01-01</date><risdate>2004</risdate><volume>32</volume><issue>1</issue><spage>60</spage><epage>70</epage><pages>60-70</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: The purpose of this study was to assess the functional outcome of opening wedge high tibial osteotomy (HTO) in a young, active
group of patients with instability rather than osteoarthritis.
Methods: The results of 17 opening wedge HTOs in 16 patients with a symptomatic hyperextension-varus thrust were evaluated. Functional
results were evaluated according to the activity scoring system of Tegner and Lysholm and using a 5-point visual analogue
scale to assess change in knee stability and satisfaction. Radiographs were analyzed to determine changes in femorotibial
and mechanical axis alignment, tibial slope, and patellar height.
Results: Patients were followed for a mean of 56 months. All patients had an increase in their activity score postoperatively. Nine
patients rated their symptoms as significantly better and seven as somewhat better. All but one were satisfied with the surgery.
Femorotibial axis alignment was changed to a mean of 6° valgus, mechanical axis alignment was corrected to a mean of 46% toward
the lateral compartment, posterior tibial slope was increased a mean of 8°, and the ratio of patellar height was decreased
a mean of 0.17.
Conclusion: Opening wedge HTO can produce good functional and radiographic results in selected patients with a symptomatic thrust.
Keywords:
osteotomy
proximal tibia
knee
instability
thrust</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>14754725</pmid><doi>10.1177/0363546503258907</doi><tpages>11</tpages></addata></record> |
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| source | MEDLINE; SAGE Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Care and treatment Diseases of the osteoarticular system Female Human physiology applied to population studies and life conditions. Human ecophysiology Humans Injuries Joint Instability - diagnosis Joint Instability - surgery Knee Knee Joint - surgery Magnetic Resonance Imaging Male Medical sciences Osteopathic medicine Osteotomy Osteotomy - methods Recovery of Function Reoperation Retrospective Studies Sports injuries Sports medicine Tibia Tibia - surgery Traumas. Diseases due to physical agents Treatment Outcome |
| title | Opening Wedge High Tibial Osteotomy for Symptomatic Hyperextension-Varus Thrust |
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